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Akute und subakute Extremitätenischämie: Katheterthrombolyse und -thrombusaspiration

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Interventionelle Gefäßtherapie
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Zusammenfassung

Die Kathetertherapie gewinnt zunehmende Bedeutung im Therapiekonzept der akuten und subakuten Extremitätenischämie, insbesondere wenn alle Möglichkeiten der Kathetertherapie in Kombination eingesetzt werden. Dieses Kapitel beruht im Wesentlichen auf unseren eigenen Erfahrungen und setzt diese in den Kontext der einschlägigen Literatur.

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  1. Belkin M, Belkin B, Buchnam CA, Straub JJ, Lowe R (1986) Intra-arterial fibrinolytic therapy. Efficacy of streptokinase vs urokinase. Arch Surg 121:769–773

    Article  PubMed  CAS  Google Scholar 

  2. Dembski JB, Zeitler E (1978) Selective arterial clot lysis with angiography catheters. In: Zeitler E, Grüntzig A, Schoop W (eds) Percutaneous vascular recanalization. Springer, Berlin Heidelberg New York, pp 157–159

    Chapter  Google Scholar 

  3. Degranges P, Kobeiter H, d’Audiffret A, Mellière D, Mathieu D, Becquemin J-P (2000) Acute occlusion of popliteal and/or tibial arteries: the value of per-cutaneous treatment. Eur J Vasc Endovasc Surg 20:138–145

    Article  Google Scholar 

  4. Do DD, Mahler F, Triller J, Nachbur B (1987) Combination of short-and long-term catheter thrombolysis for peripheral arterial occlusion. Europ J Radiol 7:235–238

    Google Scholar 

  5. Do DD, Mahler F, Triller J (1989) Catheter thrombolysis with streptokinase, urokinase, and rt-PA for peripheral arterial occlusion. In:Zeitler E, Seyferth W (eds) Pros and cons in PTA and auxiliary methods. Springer, Berlin, pp 248–253

    Google Scholar 

  6. Dotter CT, Rösch J, Seaman AJ (1974) Selective clot lysis with low dose streptokinase. Radiology 111:31–37

    PubMed  CAS  Google Scholar 

  7. Gardiner GA, Harrington DP, Koltun W, Whittemore A, Mannick JA, Levin DC (1989) Salvage of occluded bypass grafts by means of thrombolysis. J Vasc Surg 9:426–431

    PubMed  Google Scholar 

  8. Graor RA, Olin JW (1989) Regional thrombolysis in peripheral arterial occlusions. In: Julian DG, Kübler W, Norris RM, Swan HJ, Collen D, Verstraete M (eds) Thrombolysis in cardiovascular disease. Marcel Dekker, New York, pp 381–395

    Google Scholar 

  9. Hess H, Ingrisch H, Mietaschk A, Rath H (1982) Local low-dose thrombolytic therapy of peripheral arterial occlusions. N Eng J Med 307:1627–1630

    Article  CAS  Google Scholar 

  10. Hess H, Mietaschk A, von Bilderling P, Neller P (1996) Peripheral arterial occlusions: local low-dose thrombolytic therapy with recombinant tissue-type plasminogen-activator (rt-PA). Eur J Vasc Endovasc Surg 12:97–104

    Article  PubMed  CAS  Google Scholar 

  11. Kandarpa K, Drinker PA, Singer SJ, Caramore D (1988) Forceful pulsatile local infusion of enzyme accelerates thrombolysis: in vivo evaluation of a new delivery system. Radiology 168:739–744

    PubMed  CAS  Google Scholar 

  12. McNamara TO, Fischer JR (1985) Thrombolysis of peripheral arterial and graft occlusions: improved results using high-dose urokinase. AJR 144:769–775

    Article  PubMed  CAS  Google Scholar 

  13. Meyerovitz MF, Goldhaber SZ, Reagan K, Polak JF, Krishna K, Grassi CJ, Donovan BC, Bettmann MA, Harrington DP (1990) Recombinant tissue-type plasminogen activator versus urokinase in peripheral arterial and graft occlusions: A randomised trial. Radiology 175:75–78

    PubMed  CAS  Google Scholar 

  14. Ouriel K, Veith FJ, Sasahara AA for the TOPAS investigators (1998) A comparison of recombinant urokinase with vascular surgery as initial treatment for acute arterial occlusion of the legs. N Engl J Med 338:1105–1111

    CAS  Google Scholar 

  15. Palfreyman SJ, Booth A, Michaels JA (2000) A systematic review of intrarterial thrombolysis therapy for lower limb ischemia. Eur J Vasc Endovasc Surg 19:143–157

    Article  PubMed  CAS  Google Scholar 

  16. Schneider E (1989) Die perkutane transluminale Angioplastie, lokale Thrombolyse und perkutane Thrombenextraktion in der Behandlung von Extremitätenarterienverschlüssen. Internist 30:440–446

    PubMed  CAS  Google Scholar 

  17. Starck EE, McDermott JC, Crummy AB, Turnipseed WD, Archer CW, Burgess JH (1985) Percutaneous aspiration thromboembolectomy. Radiology 156:61–66

    PubMed  CAS  Google Scholar 

  18. Mahler F, Schneider E, Hess H (2001) Recombinant tissue plasminogen activator versus urokinase for local thrombolysis of femoro-popliteal artery occlusions: a prospective, randomized multicenter trial J Endovasc Ther 8:638–647

    Article  CAS  Google Scholar 

  19. The STILE Investigators (1994) Results of a prospective randomised trial evaluating surgery versus thrombolysis for ischemia of the lower extremity. The STILE trial. Ann Surg 220:251–268

    Article  Google Scholar 

  20. Valji K, Bookstein JJ, Roberts AC, Sanchez RB (1993) Occluded peripheral arter and bypass grafts: lytic stagnation as an end point for pulse-spray pharmacomechanical thrombolysis. Radiology 188:389–394

    PubMed  CAS  Google Scholar 

  21. van Breda A, Katzen B and Deutsch AS (1987) Urokinase versus streptokinase in local thrombolysis. Radiology 165:109–111

    PubMed  Google Scholar 

  22. Verstraete M, Hess H, Mahler F, Mietaschk A, Roth FJ, Schneider E, Baert AL, Verhaeghe R (1988) Femoro-popliteal artery thrombolysis with intraarterial infusion of recombinant tissue plasminogen activator — report of a pilot trial. Eur J Vasc Surg 2:155–159

    Article  PubMed  CAS  Google Scholar 

  23. Working party on thrombolysis in the management of limb ischemia (1998) Thrombolysis in the management of lower limb peripheral arterial occlusion — a consensus document. Am J Cardiol 81:207–218

    Article  Google Scholar 

  24. Zehnder T, Birrer M, Do DD, Baumgartner I, Triller J, Nachbur B, Mahler F (2000) Percutaneous catheter thrombus aspiration for acute or subacute arterial occlusion of the legs: how much thrombolysis is needed ? Eur J Vasc Endovasc Surg 20:41–46

    Article  PubMed  CAS  Google Scholar 

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Mahler, F., Do, D.D., Baumgartner, I., Birrer, M., Triller, J. (2002). Akute und subakute Extremitätenischämie: Katheterthrombolyse und -thrombusaspiration. In: Vallbracht, C., Roth, FJ., Strauss, A.L. (eds) Interventionelle Gefäßtherapie. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57540-2_14

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  • DOI: https://doi.org/10.1007/978-3-642-57540-2_14

  • Publisher Name: Steinkopff, Heidelberg

  • Print ISBN: 978-3-642-63296-9

  • Online ISBN: 978-3-642-57540-2

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